Organization
SHEPHERD'S VIEW, INC.
Active
Other names
Shepherd's View Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKIE DAWN COMBS (PRESIDENT)
(417) 778-7959
Entity
Organization
Contact information
Practice address
100 SHEPHERDS LANE, ALTON, MO 65606
(417) 778-7959
(417) 778-1849
Mailing address
100 SHEPHERDS LANE, PO BOX 429, ALTON, MO 65606
(417) 778-7959
(417) 778-1849
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
030781
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265179200
—
MO
Enumeration date
06/16/2006
Last updated
07/11/2016
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